SAMPLE LETTER
Request for Grant Extension – Department of Surgery Research Grants
Instructions:
 Requests for extensions must be submitted to Thorlakson Chair in Surgical Research no later than 30 days
prior to the grant’s expiration date of March 31 st
 Please remove the instruction box and above text; print on Principal Investigator (PI) letterhead and keep the
information below the black line as this will be completed and returned to the PI

<<Date>>
Dr Richard Keijzer
Thorlakson Chair in Surgical Research
Department of Surgery
AD210 – Health Sciences Centre
820 Sherbrook Street
Winnipeg Manitoba R3A 1R9
Dear Dr Keijzer
RE: One Year Extension – Surgery Research Grant
This letter is to request an extension of one year for our Department of Surgery Research Grant received
in <<grant year>> in the amount of <<amount>> for our grant entitled <<Name of Grant>>. The
principal investigator is Dr <<PI name>>.
The reason an extension is necessary in that <<insert detailed rationale and include a progress and
financial report>>
Sincerely,
<<PI name>>, Principle Investigator
<<Academic Rank>>
<<Surgery Section>>
An extension for this award has been
approved for the period of:
TO
Month
Richard Keijzer
Thorlakson Chair in Surgery Research
Department of Surgery
University of Manitoba
Cc:
Day
Year
Date
Office Research Services – Faculty of Medicine
Karen Grenfell, University of Manitoba Grants & Accounting Services
Department of Surgery Administration Office
Month
Day
Year